Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III _ COMMUNITY DEVELOPMENT Permit#: FPS2022-00068
Date Issued: 5/26/2022
T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#220
Project: Total Quality Logistics Subdivision: VARNS ACRES Lot: 9
Project Description: Fire sprinkler permit-Add and relocate(8)sprinkles to accommodate new tenant.AFFIDAVIT SUBMITTED.
Contractor: PATRIOT FIRE PROTECTION INC Owner: TRIANGLE POINTE TWO LLC
4708 NE MINNEHAHA ST 901 NE GLISAN ST, STE 100
VANCOUVER, WA 98661 PORTLAND, OR 97232
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/12/2022 $69.92
12%State Surcharge-Building 05/12/2022 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 05/12/2022 $27.97
Class of Work: ALT Type of Const: IIA Info Process/Archiving-Lg$2.00(over 05/12/2022 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 Design Area:
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $108.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: S1,173.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: itb(•f�� n 9-)� (�C,�� Permittee Signature: M �(T Vei�i^t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
RECEIVED h �)
City of Tigard Date Byd U `Q " Permit No.. 2OZ2- ✓61r
13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 Q 2022 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ,:k OtherPennit:
T IGAR I7 Inspection Line: 503.639.4175 CITY Date Ready/By 7n,1� Juris: li See Page 2 for
Internet: www.tigard-or.gov OF TIGHHI� Notified�'Metho•/ 0/ LL�vi7j� Supplemental Information
BUILDING DIVISION oNeareC gx;07- .J]/_
TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Per ' fees*are based on the value of the work perfo r ed.
Indicat-• e value(rounded to the nearest dollar)o II
®Addition/alteration/replacement ❑Other: equipment, • aterials,labor,overhead,and the p .fit for the
CATEGORY OF CONSTRUCTION work indicate, on this application.
0 1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedroom
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION 4411111
Total number of floors:
lob site address: 13 3 33 SW 6 8 th Pkwy New dwelling are:: •uare feet
City/State/ZIP: Tigard, OR 97223 Garage/carpo• area: squ:.a feet
Suite/bldg./apt.no.: 220 Project name: TQL Expansion Covered.•rch area: square >i
Cross street/directions to job site: SW 68th Pkwy and SW 66th Ave De area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Add and relocate (8) sprinklers to accommodate
Valuation: $ 1173
a new tenant expansion. Existing building area: square feet
New building area: same as square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Deacon Development LLC Type of construction: 2-A
Address: 901 NE Glisan St Occupancy groups:
City/State/ZIP: Portland, OR 97232 Existing: B
Phone:( 5 03) 297 8791 Fax:( ) New: B
I APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Patriot Fire Protection, Inc
All contractors and subcontractors are required to be
Contact name: Joseph Plattner licensed with the Oregon Construction Contractors Board
470E NE Minnehaha Street under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons
y apply
Phone:(360) 699 4403 Fax::(360 ) 699 4485
E-mail: joseph.plattner@patriotfire.com
CONTRACTOR
BUILDING PERMIT FEES*
Business name: same as above (Please refer to fee schedule)
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax.( ) (Due upon application submittal.)
CCB lie.: 70822 Total permit fees: `,'. 2e
Authorized signature: pi Amount received:
This permit application expires if a permit is not obtained
Print name: Joseph Plattner Date: 5-3-22 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:Tending\Pemdts\FPS-PemtitApp_071514.doc 440-4613T(11/02/COMIWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 8 Number of alarm devices:
❑ Addition or 1:1 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3)copies of sketch showing area
to existingof work within buildingstructure of work within buildingstructure
system
❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3)sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes no
Information: Hazard Group light
Density .10
Design Area N/A
K.Factor 5.6
Sprinkler Project Valuation: $ 1173
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal(see A,B&C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge(12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
\\patriotfire.local\dfs\VAN Profiles\ted.baker\Downloads\FPS_PemutApp.doc 2
City of Tigard13125 AECEIVEDpemtitNo.: PSZaz2 OOOC28
Internet:
S Hall Blvd.,Tigard,OR03 98 23
19 Date Received: �S 1 Z0
Phone: 503.718.2439 Fax: 503.598.1960 MAY 10 2022 Ac
Inspection Line: 503b39.4175 22
l_..L I L O F �C1 N 0
www.tigard-or.gov CITY OF TIGARD Bv: l_..L rTI�L.J
BUILDING DIVISION
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS �+,,��tt cQ�
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) ViCr'°
Project Name: TQL Expansion Occupancy: ]3
Job Address: 13333 SW 68th Pkwy, Tigard 97223 Type of Construction: IIA
Suite: 2 2 0
Contractor: Patriot Fire Protection, Inc Phone: 360 699 4403
Number of Proposed or Altered Heads: 8
Type: SSP Hazard: light Density:• 10
Joseph Plattner 70822
1, Oregon Construction Contractors Board No.
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams, partitions,walls,etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop(exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition,I understand the following is required:
• Submit(3)copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: Plk_
Date:
5-3-22
Print Name: Joseph Plattner
I:1Building\Forms\FiresprinklerAffidavit 071514.docx Page 1 of 1